HomeMy WebLinkAboutX2021-1222 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application °a>
r Comm I r Residential City of Newport Beach -Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
FXBuilding rGrading F-Drainage IRElec rMech rPlum CuYdCut CuvdFill
Project Address (Not mailing address) r- Flood r Fire iq r Landslide [N/A Floor Suite No
— - E. BAY AVENUE
Description of Work
Use SFR Const Type VB
4 1/2 BATHS, COVERED BALCONY, COVERED ROOF DECK, OPEN ROOF DECK,
# StoriesF # Units (if Res)F
COVERED FRONT PORCH, 2 FIREPLACES, ELEVATOR
Valuation$New/Add
Material/Labor ��
SF�Remodel SF Garage/New/Add 439
-
Ain
OWNER'SNAME Last BASSO First MICHAEL
N�y�
— - —
Owners Address
Owner's E-mail Address /
7 SHELL BEACH
—__ - MikeB@scmg.com
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_
cityNEWPORT BEACH State CA. "®®
_ Zip 92657 - Telephone 8324
APPLICANT'S NAME Last // ,{
%�UV�I.I� V) _{i{/s First
Applicant's Address Applicant's E-mail Address
7°►n N& W - - -- --F'�-- �e dvtdow eloNo 9nMn,c I'ra-I�n
Cfty State I � Zip ?�7Telephone 71�q%0 7 J�
Wvi l�
ARCHITECT/DESIGNER'S NAME Last OSLIN First BRIAN N, A.
- - _ Lic. No.
Architect/Designees Address Architect/Designers E-mail Address
8621 BELLME:AD DRIVE - oslin.design@gmail.com
City HUNTINGTON BEACH State CA. Zip 92646 Telephone 714-962-1148
ENGINEER'S NAME Last ROHRER First PAUL Lic. No. 4340
Engineers Address Engineers E-mail Address
17291 IRVINE BLVD. Paul@PRSEInc.com
City TUSTIN State CA. Zip 92780 Telephone 714-486-2537
CONTRACTOR'S NAME/COMPANY SEPULVEDABUIL;DERS Lic No. 695401 Class 61
Contractors Address Contractor's E-mail Address
790 NEWTON WAY
— sepulvedabuildersinc@gmail.com
City COSTA MESA State CA. Zip 92627 Telephone 714-288 0732io
SETBACKS REAR SETBACKS FRONT PERMIT NO. AA /✓
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $